2013-08-12T18:42:48-05:00 2012-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2012-01-01 222348211 TWIN TIER HOME HEALTH INC TWIN 6077638946 4401 VESTAL PARKWAY EAST VESTAL NY 13850 JOE CERRA 6077638946 2013-08-07 1 ANGELA M FRANCO P00589741 3154463600 2012 2016-02-24 21:20:13Z JOE CERRA 4401 VESTAL PARKWAY EAST VESTAL NY 13850 7474217 0 X UHS.ORG X 1981 NY THE MISSION OF TWIN TIER HOME HEALTH IS TO HELP PEOPLE REMAIN IN THEIR HOMES BY PROVIDING DEPENDABLE HOME HEALTH SERVICES THAT IMPROVE THE PATIENT'S QUALITY OF LIFE WHILE PROVIDING SECURITY AND PEACE OF MIND FOR OUR PATIENTS AND THEIR FAMILIES. 7 5 125 0 0 0 679 1908 6684797 7468657 4146 3652 0 0 6689622 7474217 0 0 0 0 5660321 6175185 0 0 0 1228170 1116841 6888491 7292026 -198869 182191 3798788 3931170 1896879 1765899 1901909 2165271 X AT TWIN TIER HOME HEALTH, INC. WE HELP PEOPLE REMAIN IN THEIR HOMES BY PROVIDING DEPENDABLE HOME HEALTH SERVICES THAT IMPROVES THE PATIENTS QUALITY OF LIFE WHILE PROVIDING SECURITY AND PEACE OF MIND FOR OUR PATIENTS AND THEIR FAMILIES. 0 0 6276748 7468657 PROVIDE HOME-BASED HEALTHCARE CONSISTING OF SKILLED NURSING, HOME HEALTH AIDES AND THERAPY SERVICES, TOTAL VISITS FOR 2012 WERE 47,443, AN AVERAGE OF 3,953 PER MONTH. NURSING STAFF PROVIDE INFUSION THERAPY, WOUND CARE, PATIENT EDUCATION AND DISEASE MANAGEMENT SERVICES IN THE HOME. THE THERAPY STAFF TEACH TRANSFER SKILLS, PROVIDE AMBULATION TRAINING, ACTIVITIES OF DAILY LIVING TRAINING, EQUIPMENT TRAINING AND RESTORATIVE EXERCISES. THE SPEECH PATHOLOGISTS PROVIDE ASSESSMENT AND TREATMENT OF SWALLOWING DISORDERS AND TRAINING IN COMMUNICATION SKILLS. THE NUTRITIONIST PROVIDES NUTRITION COUNSELING AND SPECIAL DIET INSTRUCTION. MEDICAL SOCIAL WORKERS PROVIDE COUNSELING RELATED TO MEDICAL LIMITATIONS AND EDUCATION ABOUT COMMUNITY RESOURCES. TWIN TIER HOME HEALTH PROVIDED 100 VISITS AT NO CHARGE TO PATIENTS WHO HAVE INCOME BELOW 200% OF THE NATIONAL POVERTY LEVEL AND HAVE NO INSURANCE. INDIVIDUALS WHO HAD INSURANCE WITH CO-PAYS BUT MET THE ABOVE INCOME GUIDELINES HAD THEIR CO-PAYS FORGIVEN. TWIN TIER HOME HEALTH GAVE 4 HOURS OF PAID TIME TO EACH EMPLOYEE WHO VOLUNTEERED TO PERFORM VARIOUS COMMUNITY BENEFIT ACTIVITIES FOR THE DAY OF CARING. 6276748 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 7 0 1 125 1 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NY X CYNTHIA WINE 6077638946 4401 VESTAL PARKWAY EAST VESTAL NY 13850 LINDA BEST 1.00 X X 0 0 0 DOUG KERR MD 1.00 X X 0 0 0 MATT SALANGER 1.00 49.00 X X 0 1284770 38033 DIANE BROWN 1.00 X X 0 0 0 FERRIS AKEL 1.00 X X 0 0 0 LINDA MACKENZIE 1.00 X 0 0 0 FRANCES SRNKA-DEBNAR 1.00 X 0 0 0 JOE CERRA 4.00 46.00 X 26860 241736 21313 CYNTHIA WINE 20.00 30.00 X 44607 69014 10057 KARLA DOTTS 47.00 3.00 X 96792 5539 9734 GREG RITTENHOUSE 3.00 47.00 X 0 143575 11321 168259 1744634 90458 0 0 1 0 0 1908 1908 PAYMENTS FOR HOME HEAL 621610 7467859 7467859 AFFILIATE REIMBURSEMEN 900099 798 798 7468657 3652 3652 7474217 7468657 0 3652 190015 190015 4889779 4448836 440943 86568 72499 14069 604790 556872 47918 404033 367650 36383 70068 70068 23775 23775 146005 140771 5234 233672 192273 41399 103994 99347 4647 115035 81262 33773 199140 196925 2215 6150 1522 4628 83272 40110 43162 36138 33876 2262 TELEMONITORING 39898 39898 HEALTH FACILITY ASSESSM 26069 26069 BAD DEBTS 17438 17438 MISC 8320 8320 7867 4907 2960 7292026 6276748 1015278 0 381467 632237 1081668 893377 1204835 1208119 91930 77014 1136539 934683 243671 201856 795217 876388 42179 3798788 3931170 1435161 1292125 461718 473774 1896879 1765899 X 1901909 2165271 1901909 2165271 3798788 3931170 X 182191 81171 X X 0 1 X 1 0 X 5348049 5887416 6208806 5552800 6634304 29631375 5348049 5887416 6208806 5552800 6634304 29631375 29631375 24611 4055 3677 4146 3652 40141 29671516 0.99860 0.99710 X 132168 30834 101334 1004371 903849 100522 201856 PROJECT HEAR - WHOLLY OWNED SUBSIDIARY 876388 C 876388 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: FORM 990 PART XII LINE 2B: TWIN TIER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31,2012 AND 2011, TWIN TIER DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2009 THROUGH 2012. X 1 1 X X X X 0 0 0 1 1 1 1 0 0 MATT SALANGER 0 805904 0 157106 0 321760 0 16750 0 21283 0 1322803 0 0 JOE CERRA 23704 213334 3156 28402 0 0 1675 15075 456 4107 28991 260918 0 0 GREG RITTENHOUSE 0 133575 0 10000 0 0 0 9682 0 1639 0 154896 0 0 PART I, LINE 6 PART 1 LINE 6A/6B THE TWIN TIER HOME HEALTH, INC EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDES ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF TWIN TIER HOME HEALTH, INC. AND PROFESSIONAL HOME CARE, INC. A PORTION OF THE 2012 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO THE TWO COMPANIES MEETING THEIR COMBINED NET INCOME GOALS. FERRIS AKEL FAMILY OWNS BINGHAMTON GIANT MARKETS 211474 LEASE & TAX/COMMON AREA EXPENSE 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11 THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE TWIN TIER HOME HEALTH BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE VP OF FINANCE PREPARES THE 990 WHICH IS REVIEWED BY UHS CORPORATE COUNSEL AND BY TWIN TIER HOME HEALTH'S INDEPENDENT AUDITORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15A IT IS THE PHILOSOPHY OF TTHH THAT THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW TTHH TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS: 1)THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON 'TOTAL REVENUE' METRICS) AND A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S.TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THE CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC , UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EARNINGS FROM WHOLLY OWNED SUBSIDIARY THAT FILES 990 81,171. .FORM 990 PART XII LINE 2C: NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT OR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE CURRENT YEAR. UNITED HEALTH SERVICES HOSPITALS 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 161165049 ACUTE AND OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER HOUSING CORP 508 HIGH AVENUE ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501(C)(3) 9 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER 508 HIGH AVENUE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE INC 4401 VESTAL PARKWAY EAST VESTAL NY 13850 161261977 HOME MEDICAL NY 501(C)(3) 9 UNITED HEALTH SERVICES INC 0 CHENANGO MEMORIAL HOSPITAL 179 N BROAD STREET NORWICH NY 13815 150532180 ACUTE AND OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL ONE TITUS PLACE WALTON NY 13856 150524324 ACUTE AND OUTPATIENT SERVICES NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 UNITED HEALTH SERVICES INC 10-42 MITCHELL AVENUE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 9 BOARD OF DIRECTORS 0 PROJECT HEAR 4401 VESTAL PARKWAY EAST VESTAL NY 13850 161462675 HOME ALARM NY 501(C)(3) 9 TWIN TIER HOME HEALTH 0 UNITED MEDMANAGEMENT INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161396133 PHYSICIAN PRACTICES NY 501(C)(3) 11B UNITED HEALTH SERVICES INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0